Month: June 2021

Uncategorized Published - 24 June, 2021    By - Dr Clemens
A preliminary prospective observational study of the effectiveness of high-concentration capsaicin cutaneous patch in the management of chronic post-surgical neuropathic pain

DG Journal Club AUTHORS: Cormac F Mullins, Sarah Walsh et al. Ir J Med Sci. 2021 May INTRODUCTION Chronic post-surgical neuropathic pain is difficult to treat. Topically applied analgesics provide an alternative to systemic therapy in localised neuropathic pain syndromes. The aim of this study was to prospectively assess whether 8% capsaicin is effective in […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Inflammatory back pain: a concept, not a diagnosis

DG Journal Club AUTHOR: Fiona Louise Coath, Karl Gaffney Curr Opin Rheumatol. 2021 May PURPOSE OF REVIEW The concept of inflammatory back pain (IBP) describes a cohort of patients with chronic back pain (CBP) who have distinct clinical characteristics, rather than being a diagnosis in and of itself. IBP is a common and important feature […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Epidural Use at Birth Not Linked to Autism Risk

DG News Having an epidural during childbirth was not associated with a greater risk of autism in the child, according to a study published in JAMA Pediatrics. “We did not find evidence for any genuine link between having an epidural and putting your baby at increased risk of autism spectrum disorder,” said senior author Alexander Butwick, […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
The Association of Preoperative Frailty and Postoperative Delirium

AUTHORS: Gracie, Thomas J. BS et al Anesthesia & Analgesia: May 2021 BACKGROUND: Both frailty and postoperative delirium (POD) are common in elective surgical patients 65 years of age and older. However, the association between preoperative frailty and POD remains difficult to characterize owing to the large number of frailty and POD assessment tools used in […]

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Uncategorized Published - 24 June, 2021    By - Dr Clemens
Surgery still more common than TMVR among AMI patients, but the gap is shrinking

Author: Michael Walter Cardiovascular Business Mitral valve surgery remains much more common than transcatheter mitral valve repair (TMVR) among acute myocardial infarction (AMI) patients, according to a new study published in the American Journal of Cardiology. However, the authors noted, TMVR is gaining momentum as time goes on. Researchers tracked data from the Nationwide Readmissions Database, […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study

Anaesthesia June 2021 Vol 76 Issue 6 pages 748-758 COVIDSurg Collaborative, GlobalSurg Collaborative This article is accompanied by an editorial by Wijeysundera and Khadaroo, Anaesthesia 2021; 76: 731–5. Summary Peri-operative SARS-CoV-2 infection increases postoperative mortality. The aim of this study was to determine the optimal duration of planned delay before surgery in patients who have had SARS-CoV-2 infection. […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Association Between Ionized Calcium Concentrations During Hemostatic Transfusion and Calcium Treatment With Mortality in Major Trauma

AUTHORS: Chanthima, Phuriphong MD et al Anesthesia & Analgesia: June 2021 – Volume 132 – Issue 6 – p 1684-1691 BACKGROUND:  Transfusion of citrated blood products may worsen resuscitation-induced hypocalcemia and trauma outcomes, suggesting the need for protocolized early calcium replacement in major trauma. However, the dynamics of ionized calcium during hemostatic resuscitation of severe injury […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Spinal Stimulation Provides Pain Relief in Some Patients With Diabetic Neuropathy

Author: Alex Morrisson DG Alerts Spinal cord stimulation using a 10 kilohertz device suppresses pain caused by diabetic neuropathy, according to a study presented at the Virtual 2021 Annual Meeting of the American Academy of Neurology (AAN). In the multicentre randomised SENZA-PDN study, patients diagnosed with diabetic neuropathy said their pain scores decreased from an […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Analgesia After Cesarean Delivery in the United States 2008–2018

AUUTHORS: Reed, Sydney E. MD et al Anesthesia & Analgesia: May 2021 BACKGROUND: Optimizing analgesia after cesarean delivery is a priority and requires balancing adequate pain relief with the risk of analgesics-associated adverse effects. Current recommendations are for use of a multimodal, opioid-sparing analgesic regimen that includes neuraxial morphine combined with scheduled nonsteroidal anti-inflammatory drugs (NSAIDs) […]

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Uncategorized Published - 23 June, 2021    By - Dr Clemens
Young adults with vaccine-related heart damage see all symptoms resolve

Author: Michael Walter Cardiovascular Business All young adults who develop myocarditis-like symptoms after receiving a COVID-19 vaccine heal completely within two to four days, according to a new analysis published in Circulation. “As of June 5, 2021, more than 170 million individuals in the US and 894 million individuals worldwide had received at least one dose […]

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